Ventricular fibrillation during electrical cardioversion of pre-excited atrial fibrillation.

Abstract:

:The Wolff-Parkinson-White syndrome can rarely present with pre-excited atrial fibrillation. In this condition the short refractory period of the accessory pathway can lead to rapid atrioventricular conduction. There is then a danger that at high heart rates the irregular broad complex tachycardia that results can deteriorate into ventricular fibrillation. The initial management of patients presenting in pre-excited atrial fibrillation requires cardioversion to sinus rhythm. This can be performed by DC cardioversion or pharmacological means. This paper describes the case of a patient presenting in pre-excited atrial fibrillation where electrical DC cardioversion lead to transient iatrogenic ventricular fibrillation.

journal_name

Postgrad Med J

authors

Adlam D,Azeem T

doi

10.1136/pmj.79.931.297

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

297-9

issue

931

eissn

0032-5473

issn

1469-0756

journal_volume

79

pub_type

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